In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?

Maintenance therapy of controlled chronic asthma

Severe asthmatic attack

Asthma that is unresponsive to bronchodilator therapy

Acute allergic reaction

Answer and Explanation

The Correct Answer is C

A. Maintenance therapy of controlled chronic asthma

Glucocorticoids are commonly used as maintenance therapy for controlled chronic asthma to prevent exacerbations and maintain long-term control.

B. Severe asthmatic attack

While bronchodilators are often the first-line treatment for a severe asthmatic attack, glucocorticoids may be added to reduce inflammation and improve overall outcomes.

C. Asthma that is unresponsive to bronchodilator therapy

In cases where asthma is unresponsive to bronchodilator therapy or there is an exacerbation of asthma symptoms, glucocorticoids (steroids) are often prescribed. These medications have anti-inflammatory effects and can help reduce airway inflammation, improving symptoms and preventing further exacerbation.

D. Acute allergic reaction

Glucocorticoids may be used in the management of acute allergic reactions, but they are not the first-line treatment. Antihistamines and other medications are typically used initially, and glucocorticoids may be added in certain cases.

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Correct Answer is ["A"]

Explanation

A. “Drink extra water while taking this medication.”

This is correct. Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways. Drinking extra water helps to enhance its effectiveness by keeping the patient well-hydrated.

B. “Monitor urine output closely.”

Monitoring urine output is not typically necessary with guaifenesin. It does not have a diuretic effect, and excessive monitoring of urine output may not be relevant in this context.

C. “Take it with an oral antihistamine for better effectiveness.”

Guaifenesin is often used in combination with other medications, but taking it with an oral antihistamine is not a standard recommendation. The combination should be based on the specific guidance of the healthcare provider.

D. “Avoid driving or using heavy machinery while on this medication.”

Guaifenesin does not typically cause sedation or impairment, so there is generally no need to avoid driving or using heavy machinery. This instruction may not be necessary for this medication.

A. Decreased coughing B. Relief of nasal congestion C. Thinning of secretions D. Bronchodilation

Correct Answer is A

Explanation

. Decreased coughing:

Dextromethorphan is primarily used as an antitussive, meaning it helps reduce coughing. It acts on the cough center in the brain to suppress the urge to cough.

B. Relief of nasal congestion:

Dextromethorphan is not typically used for relieving nasal congestion. Decongestants, such as pseudoephedrine, are more commonly used for this purpose.

C. Thinning of secretions:

Dextromethorphan does not have a direct effect on thinning secretions. Expectorants, like guaifenesin, are often used for this purpose.

D. Bronchodilation:

Dextromethorphan is not known for its bronchodilator effects. Bronchodilators, such as albuterol, are used for widening the airways in conditions like asthma or chronic obstructive pulmonary disease (COPD).

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In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has the feeling of having “chest tightness” while experiencing “cold-like” symptoms. Her cough is nonproductive. Her physician prescribed guaifenesin (Mucinex) to help with secretions. When teaching about this medication, what should the nurse instruct? (Select all that apply)

Correct Answer is ["A"]

Explanation

A client is receiving Dextromethorphan (Robitussin). The nurse knows the drug is exerting its therapeutic effects with which client report?

Correct Answer is A

Explanation

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